Which individual in the emergency department should be considered at highest risk for completing suicide?

A 38-year-old single, African American female church member with fibrocystic breast disease.

An adolescent Asian American girl with superior athletic and academic skills who has asthma.

A 79-year-old single, white male diagnosed recently with terminal cancer of the prostate.

A 60-year-old married Hispanic man with 12 grandchildren who has type 2 diabetes.

Answer and Explanation

The Correct Answer is C

A. African American females, especially with strong religious affiliation and social ties, have a lower risk of suicide compared to other demographics.

B. Adolescents may have suicidal ideation under stress, but the protective factors (academic and athletic success, no indication of psychiatric illness) lower the risk.

C. Older white males are at the highest statistical risk for suicide, especially when compounded by chronic illness, terminal diagnosis, social isolation (single), and depression.

D. Despite chronic illness (type 2 diabetes), protective factors such as being married and having many grandchildren reduce suicide risk.

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Correct Answer is B

Explanation

A. Mild anxiety usually presents with slight discomfort, restlessness, or irritability, and the client remains able to focus and problem-solve.

B. Severe anxiety is characterized by physical symptoms such as chest pain, headache, shortness of breath, and a preoccupation with specific concerns (e.g., personal problems) that limit the client’s ability to focus on other matters.

C. Panic involves sudden, intense terror or dread, often accompanied by inability to communicate or function, and may include distorted perceptions or irrational behavior. The client in this scenario can still verbalize concerns.

D. Moderate anxiety causes narrowing of attention and some tension or restlessness, but the physical manifestations and preoccupation in this scenario indicate a more severe level.

A. Nystagmus B. Dilated pupils C. Depression D. Hypersomnia

Correct Answer is B

Explanation

A. This is more commonly associated with phencyclidine (PCP) or alcohol intoxication, not cocaine.

B. Cocaine is a powerful stimulant that activates the sympathetic nervous system. This results in mydriasis (dilated pupils), increased heart rate, elevated blood pressure, hypervigilance, and euphoria.

C. Depression is more likely during cocaine withdrawal, not intoxication.

D. Like depression, hypersomnia is a withdrawal symptom. Intoxication typically causes insomnia and restlessness.

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Which individual in the emergency department should be considered at highest risk for completing suicide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a client who reports chest pain, headache, and shortness of breath. He continues to state. "I don't know why my wife left me." The client receives a diagnosis of anxiety. The nurse realizes the client's findings support which level of anxiety?

Correct Answer is B

Explanation

A nurse in an emergency department is assessing a client for suspected cocaine intoxication. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse assesses a patient who reports a 3-week history of depression and periods of uncontrolled crying. The patient says. "My business is bankrupt and was served with divorce papers." Which subsequent statement by the patient alerts the nurse to a covert suicidal message?

An adult outpatient diagnosed with major depressive disorder has a history of several suicide attempts by overdose. Given this patient's history and diagnosis, which antidepressant medication would the nurse expect to be prescribed to this patient?

Which principle should guide the nurse in determining the extent of silence to use during patient interview sessions?

A hospitalized client diagnosed with alcohol use disorder believes spiders are spinning webs in the room to entrap him. The patient is fearful, agitated, and diaphoretic. Which nursing intervention is indicated?

What physical assessment finding is noticeable in a patient who has a history of bulimia?

An adult patient assaulted another patient and was then restrained. One hour later, which statement by the restrained patient requires the nurse's immediate attention?

A bystander was killed during a robbery 2 weeks ago. His widow, who is diagnosed with schizoaffective disorder, cries spontaneously when talking about his death. Select the nurse's most therapeutic response.

A nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?